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Individual

MR. LARRY HOWARD BRANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.A.

Contact information

Practice address
1160 AMBERWOOD DR, HEMET, CA 92543-5749
(951) 658-5432
Mailing address
1160 AMBERWOODDR., HEMET, CA 92543-5749
(951) 658-5432

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2633
CA

Other

Enumeration date
08/28/2008
Last updated
08/28/2008
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